Partner Organizational Profile

(please fill in one form for EACH applicant agency you represent)

A. Summary Information(Please fill details in this column)

Name of organisation:
Postal Address:
Physical Location:
(List Main Office and
Sub-office locations)
Telephone Contact:
Email Address:
Primary Contact Person:
Core Programme Sectors / Activities
Primary Geographic Areas of Operation (District(s) + Division(s) + Location(s)
Does your organisation have a mission statement?
Briefly describe your organisation’s mission?

B. Registration

Is the organisation registered?
With which body?
What type of registration?
Registration date:
(Please provide a copy of the registration)
Registration number:

C. Governance

Does your organisation have a Board of Governors/Board of Trustees/Committee?
List the members,
their organisations and their titles, and indicate whether they are on the board/committee as individuals or through their organisations.
When has the Board/Committee met over the last 12 months?
Which of the following has the board/committee or any of its members been involved in the past six months:
(please insert x where appropriate) / ___Fundraising
___Public Relations
___Advocacy
___Financial Oversight
___Policy
___Strategic Planning
___Project implementation
___Other:______
Does the board/committee produce an annual report? (Y/N)
If yes, who is this report shared with/presented to?
(Please provide a copy of the latest annual report)

D Financial Management

Do you have a bank account? (Y/N) Please provide bank name, account name, branch, branch address, account number
Who conducts annual audits for your organisation?
(Please attach a copy of the latest audit account report)
What is the annual operating budget of your organisation over the last 3 years? (Attach bank statement copiesto support)

E. Human Resources

Do you have an organisation chart, organogram or other document outlining the management structure? / Please attach a copy of the organisational structure
How many employees do you have in total?
How many volunteers do you have in total?

Please fill in the table for key staff in the organisation in management,finance, implementation, logistics and administration staff. (Attach their CVs to this form.)

Name / Position / Key Qualifications

F. Implementing Experience and Donor History

(Please provide valid contact details, as the following information can be used for reference checks.)

Have you been funded by other UN agencies or International NGOs in the past? Please list, including the contact person who worked with your project.
Project Name / Donor
(phone no. and e-mail) / Location / Project Dates / Amount
Have you been funded by IOM in the past? Please list.
Project Name / IOM staff in charge / Location / Project Dates / Amount

G. Connection to IOM (Declaration):

Do the organisation and/or the individuals, who are associated with this organisation, have any family or other linkage or connection to any IOM staff member, other than of a strictly professional nature? Yes No

If yes, please provide the following information:

Name of IOM staff / Division / Relationship to your organization/individuals

H. Attachments:

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  • Copy of registration
  • Last Annual Report
  • Latest Audited Accounts Report (if not, Latest Annual Operating Budget)
  • Organisational Structure / Organogram
  • CVs of Key Staff

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Note: If your agency is new and/or unregistered, please fill as much of this form as possible, and write in a separate letter the background to who you are, how you formed and why you formed, and how you propose to manage your proposed project.

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